Healthcare Glossary

Key healthcare terms

D

D.D.S., D.M.D.
These abbreviations refer to academic degrees awarded to graduates of United States dental schools.
Date of service
This is the date when service was provided.
Date posted
For spending accounts, this is the date the transaction was completed and applied to your account.
Date processed
The date Humana processed a claim. Providers can expect to receive payment in 7-14 days, depending on the provider payment arrangement.
Days supply
The amount of days the prescribed medication is to last is the days supply. For example, you might receive a 30-day supply or 90-day supply.
Deadline to verify
On the spending account Expenses Requiring Verification Table, this is last date you are able to verify an expense was eligible for spending account reimbursement.
Death benefit
The amount payable after the death of the person whose life is insured.
Debridement
Debridement refers to the removal of foreign matter or dead tissue.
Decay
Decay is the decomposition of tooth structure.
Decay (dental)
Decomposed tooth structure (cavity formation).
Decline reason
On the spending account Declined Card Transactions Table, this is why Humana denied payment for a certain amount or transaction.
Deductible
This is a set amount you pay before your insurance starts to pay for specified services. For example, you may only have a copayment for physician services, but you may have to meet a deductible for hospital services.
Deductible carry-over credit
These charges, applied to the deductible for services during the last months of a calendar year, may be used towards the next year's deductible.
Defense Enrollment Eligibility Reporting System (DEERS)
A database of uniformed service members (sponsors), family members, and others worldwide who are entitled under law to military benefits, including TRICARE. Beneficiaries are required to keep DEERS updated. Refer to the TRICARE Eligibility section of your handbook for more information.
Defined standard coverage
This is the lowest or most basic level of prescription drug coverage that can be offered through Medicare Part D.
Dental coverage
Your dental coverage is the benefit that you pay premiums for. Your coverage will pay certain approved costs associated with preventing and treating dental disease.
Dental Health Maintenance Organization (DHMO)
DHMOs accept responsibility and financial risk for providing you with specified dental services during a set period of time at a fixed price. As a member, you receive comprehensive care through designated providers.
Dental prosthesis
This artificial device replaces one or more missing teeth.
Dentin
Dentin is tissue that forms the main body of the tooth.
Denture
A denture is an artificial substitute for natural teeth and adjacent tissues.
Denture base
This is the part of the denture that holds artificial teeth and fits over the gums.
Dentures
Any dental appliance to replace missing natural teeth and the surrounding tissues.
Dependent
For spending accounts, a dependent is a child under 13 years of age or someone who is disabled and receiving care through a day care service, nanny, etc., while a parent or guardian is at work, looking for work, or attending school. For other types of benefits, refer to the definition in your plan documents.
Dependent care FSA
See “Flexible Spending Account - dependent care.”
Dependent coverage
Insurance coverage that extends to your dependents, including spouse and dependent children, is known as dependent coverage.
Deposits to date
For spending accounts, this is the total amount contributed to your spending account as of a certain date.
Description
On the spending account Account Activity Tables, this is an explanation of the type of transaction or the type of provider. On the Claim Form, it is the type of service or procedure performed.
Designated Provider (DP)
Under the US Family Health Plan (USFHP), DPs, formerly known as uniformed services treatment facilities, are selected civilian medical facilities around the United States assigned to provide care to eligible and enrolled USFHP beneficiaries — including those who are age 65 and older — who live within the DP area. At these DPs, the USFHP provides TRICARE Prime benefits and cost-shares for eligible persons who enroll in USFHP, including those who are Medicare-eligible.
DHMO
See Dental Health Maintenance Organization.
Diagnostic services
Used to identify the cause of patients’ symptoms or the status of their pre-existing condition, diagnostic services may included a physical examination, radiology tests, blood tests, a study, or an invasive procedure. Most diagnostic services take place in an outpatient setting, although some may require a hospital admission or overnight stay in a hospital or diagnostic facility.
Diastema
Space between two adjacent teeth in the same jaw.
Digital X-ray
X-rays that are captured in digital format instead of on X-ray film, these can be seen immediately on a computer screen after exposure.
Disability benefit
This benefit is payable under a disability income policy.
Disabled enrollee
An individual under age 65 who has been entitled to disability benefits for at least two years may receive Medicare Part B benefits as a disabled enrollee.
Disclosure
This refers to the release of information by an entity to others not affiliated with that entity.
Disease management
A prospective, disease-specific approach to improving health care outcomes by providing education to beneficiaries through non-physician practitioners who specialize in targeted diseases.
Disenroll
You disenroll when you end your coverage with a health plan.
Distal
The surface of a tooth farthest from the center line of the face is known as distal
DOB
This stands for date of birth.
Document number
A number assigned by our computer system to each document received.
Dose
A dose is the amount of medication you are prescribed or instructed to take at one time as treatment for a specific condition.
DOT
The Department of Transportation (in this case, the United States DOT) is the federal agency governing interstate transportation.
Drug discount program
A discount drug program offers members of that program special savings on medications not covered by their pharmacy benefit plan.
Drug list
A list of medications your plan covers is the drug list, also known as a formulary. Humana’s Medicare Drug List shows which drugs are covered and which drug tier they’re in — preferred generic, preferred brand, non-preferred brand, or specialty. See the definition for drug tiers.
Drug tiers
Some plans place prescription drugs together in a group, or drug tier. With most plans, the amount you pay at the pharmacy depends on the tier for the drug.
Dual eligibles
People who are entitled to Medicare and eligible for Medicaid are dual eligible.
Durable Medical Equipment (DME)
DMEs refer to certain purchased or rented items that are prescribed by a healthcare provider for use in a patient’s home. Examples of durable medical equipment Medicare might cover include hospital beds, iron lungs, oxygen equipment, seat lift equipment, and wheelchairs.
Dynamic early intervention
Early intervention — The sooner treatment begins, the quicker the recovery. Early intervention also allows complicated cases to be identified quickly, so that appropriate referrals can be made immediately - Early motivation — A good first experience with our physicians and staff motivates patients and creates a positive attitude that shortens rehabilitation time- Early education — We help patients understand the mechanics of the injury and methods to prevent re-injury , so they feel more in control of their recovery - Self-responsibility — We clearly communicate and emphasize the patient’s responsibility in the treatment and recovery process, which leads to more successful outcomes